What are the responsibilities and job description for the Medical Billing Specialist position at Abington Surgical Center?
The Abington Surgical Center is seeking a skilled Billing Specialist to ensure accurate billing, coding, and reimbursement processes. The ideal candidate must be well-organized, self-motivated, and have the ability to multitask in a fast-paced environment.
Responsibilities:
- Code charges and bill for medical procedures
- Prepare and complete the billing process
- Research and resolve billing and posting issues; identify refunds, credits, and write-offs
- Collect and process payments, including credit card transactions and set up payment arrangements on current and back due patient balances
- Send weekly statements to patients
- Post patient and payer EOB payments
- Follow up on unpaid claims and denials, submit for reconciliation and/or appeal if necessary
- Submit claims to insurance companies electronically or by mail
- Interact with staff, physicians, and their offices to obtain billing and updated patient demographic information
- Collaborate with staff, physicians, and their offices to gather all needed information
- Manage incoming calls and provide thorough follow-up on patient accounts to ensure timely and accurate resolution
Requirements:
- 5 years of proven experience in a similar role
- Surgical Center experience preferred but not required
- Strong communication skills, both verbal and written
- In-depth knowledge of medical billing, coding, claims processing, and collections
- Familiarity with ICD-10 and CPT coding standards
- Conduct insurance investigations to obtain patient's benefits and eligibility, authorizations, and referrals
- Experience using third-party websites including PEAR, NaviNet, and Availity
- Works as a team player and participates in team meetings
- Highly organized, attention to detail
- Proficient in using Microsoft Office (Word, Excel, and Outlook) and medical billing systems